Individual
GEETHA A MENEZES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-2638
Mailing address
11150 FAIRFAX BLVD, SUITE 501, FAIRFAX, VA 22030
(703) 691-2516
(703) 691-3526
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
0101231156
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006606750
—
VA
Enumeration date
08/02/2005
Last updated
07/15/2008
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